美国全科医学和骨科医学院在学费及课程设置方面的差异。

Variability in tuition and curriculum among allopathic and osteopathic medical schools in the United States.

作者信息

Lin I-Chun, Sen-Crowe Brendon, Pasarin Anthony, McKenney Mark, Elkbuli Adel

机构信息

Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, FL, USA.

University of South Florida, Tampa, FL, USA.

出版信息

Ann Med Surg (Lond). 2021 Aug 18;69:102737. doi: 10.1016/j.amsu.2021.102737. eCollection 2021 Sep.

DOI:10.1016/j.amsu.2021.102737

PMID:34457262

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8379658/

Abstract

BACKGROUND

Medical school tuition has increased dramatically. We aimed to characterize allopathic and osteopathic medical school tuition and its association with geographic region, pre-clerkship and clerkship curriculums, and compare tuition between allopathic and osteopathic schools.

METHODS

US allopathic and osteopathic in-state tuition were extracted from the AAMC and AACOM databases and adjusted for cost-of-living. Schools were divided by geographic regions (West, Midwest, South, Northeast). Pre-clerkship and clerkship curricula characteristics were collected from school websites. Pre-clerkship curricula were categorized into one of six categories: 1) discipline-based, 2) organ system-based, 3) combined discipline/organ system based, 4) team-based learning, 5) mixed, and 6) other. Clerkship curricula characteristics collected included; required research block, out-of-state elective option, and global health (international) elective option. This study was reported according to STROCSS guidelines.

RESULTS

For allopathic schools, unadjusted and adjusted tuition was significantly higher in the Northeast. After adjusting for cost of living, the West displayed significantly larger in-state tuition than the South. No association was seen between tuition and pre-clerkship curriculum. Of the clerkship characteristics, presence of a required research block or global health electives corresponded to higher tuitions. For osteopathic schools, tuition in the West was significantly higher than the South and Midwest. Schools that offered a discipline-based pre-clerkship curriculum had higher tuitions than other curricula. Clerkship characteristics were not associated with tuition variation.

CONCLUSIONS

US medical school tuition is highly variable, demonstrating associations with geographic regions and curriculum characteristics. There is increasing value in team-based learning modalities in improving professional communication skills.

摘要

背景

医学院学费大幅上涨。我们旨在描述opathic和osteopathic医学院的学费情况及其与地理区域、临床前和临床课程的关联，并比较opathic和osteopathic医学院之间的学费。

方法

从美国医学协会（AAMC）和美国骨科医学院协会（AACOM）数据库中提取美国opathic和osteopathic州内学费，并根据生活成本进行调整。学校按地理区域（西部、中西部、南部、东北部）划分。从学校网站收集临床前和临床课程的特征。临床前课程分为六类之一：1）基于学科，2）基于器官系统，3）基于学科/器官系统组合，4）基于团队的学习，5）混合，6）其他。收集的临床课程特征包括；必修研究模块、州外选修选项和全球健康（国际）选修选项。本研究按照STROCSS指南报告。

结果

对于opathic医学院，东北部未经调整和调整后的学费显著更高。在调整生活成本后，西部的州内学费显著高于南部。学费与临床前课程之间未发现关联。在临床课程特征方面，存在必修研究模块或全球健康选修课程对应着更高的学费。对于osteopathic医学院，西部的学费显著高于南部和中西部。提供基于学科的临床前课程的学校学费高于其他课程。临床课程特征与学费差异无关。